Acute renal allograft failure due to thrombosis of a previously stented iliac artery: salvage using mechanical thrombectomy and restenting
Ismaeel, M.M.; Bonatti, H.; Housseini, A.M.; Ahmad, E.; Pruett, T.L.; Brayman, K.; Hagspiel, K.D.
Annals of Transplantation 14(3): 70-73
2009
ISSN/ISBN: 2329-0358 PMID: 19644163 Document Number: 637168
Renal artery stenosis is the most common surgical complication after renal transplantation. RT stenosis of the iliac artery presents in a similar way. Interventional techniques can salvage the graft in most cases. We report a renal transplant recipient who developed acute ischemic graft failure due to thrombosis of a previously stented iliac artery. He was successfully treated with mechanical thrombectomy and re-stenting. By this, we were able to salvage the graft with good long-term function. To the best of our knowledge this is the first case of restenting of an iliac artery in the setting of RT. Interventional radiology should be the approach in such cases.